Organization
CHIN SE KIM, MD INC
Active
Other names
MERIDIAN SPORTS MEDICINE & PAIN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIN SE KIM M.D. (PRESIDENT)
(714) 520-0809
Entity
Organization
Contact information
Practice address
1736 W MEDICAL CENTER DR STE B, ANAHEIM, CA 92801-1854
(714) 520-0809
(714) 520-0835
Mailing address
1736 W MEDICAL CENTER DR STE B, ANAHEIM, CA 92801-1854
(714) 520-0809
(714) 520-0835
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
A46079
CA
208VP0000X
Pain Medicine Physician
Primary
A46079
CA
Other
Enumeration date
01/05/2010
Last updated
02/02/2010
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